S02.80XA — Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture
S02.80XA is a billable, specific ICD-10-CM code for fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
The appropriate 7th character is to be added to each code from category S02
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- S
- sequela
Excludes2 inherited from the categories above S02.80XA
Also inherited, and the opposite of Excludes1: these conditions are not part of S02.80XA, but a patient can have both, so you may code both.
Other codes that can never be billed with S02.80XA
These codes carry an Excludes1 note pointing at S02.80XA. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S02.80XA alone.
- S01Open wound of head
Risk adjustment
S02.80XA risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 399 Major Head Injury without Loss of Consciousness0.199 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S02.80XA is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Code history
S02.80XA has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S02.80. If S02.80XA is not quite right, the correct code is usually one of these.
- S02.80XBFracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture
- S02.80XDFracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with routine healing
- S02.80XGFracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with delayed healing
- S02.80XKFracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with nonunion
- S02.80XSFracture of other specified skull and facial bones, unspecified side, sequela
Questions about S02.80XA
- Is S02.80XA a billable ICD-10-CM code?
- Yes. S02.80XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.80XA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).